Bohdan M Minczak, MD | |
245 N 15th Street, Ncb Room 2108, Philadelphia, PA 19102 | |
(215) 762-2361 | |
(215) 762-1307 |
Full Name | Bohdan M Minczak |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 245 N 15th Street, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396738456 | NPI | - | NPPES |
8523801 | Medicaid | NJ | |
0017079530005 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD064462L (Pennsylvania) | Primary |
Entity Name | Jefferson University Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
Entity Name | Drexel University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902900095 PECOS PAC ID: 5496664740 Enrollment ID: O20140729001682 |
Entity Name | Jefferson Acute Care Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730571324 PECOS PAC ID: 7810215613 Enrollment ID: O20150407001063 |
Mailing Address | Practice Location Address |
---|---|
Bohdan M Minczak, MD 1601 Cherry St, Suite 11511, Philadelphia, PA 19102-1320 Ph: (215) 255-7822 | Bohdan M Minczak, MD 245 N 15th Street, Ncb Room 2108, Philadelphia, PA 19102 Ph: (215) 762-2361 |
Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963 | |
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502 | |
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Ashley Bonsu, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151 | |
Jennifer Jie Xu, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-5161 | |
Dr. Alan Barte, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd Ste 1, Philadelphia, PA 19141 Phone: 215-456-7890 |